Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenae McKenzie Tidwell

Individual provider Occupational Therapist · NPI 1437873056

Brenae McKenzie Tidwell is an Occupational Therapist in Idabel, Oklahoma. Licensed in Oklahoma and Texas. Registered with an NPI since 2022.

Licensed in
OK, TX
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone: (580) 286-7623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5689 (OK)
Occupational Therapist Taxonomy 225X00000X · Licence 123070 (TX)

Record details

NPI number1437873056
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

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